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HomeMy WebLinkAbout10-06-09PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ~~=/1~rr~~; AND FILE NO BUREAU OF INDIVIDUAL TAXES PD BDx zaosgl ~;" ~!i~?~~ /TAXPAYER RESPONSE ACN NARRISBUR6 PA 1712 8-0 60 1 ~~~ 1*L* REVISED NOTICE a ~ ^ DATE IaV-lE4] E% _6 r CLER~4(O/f~, ~RGI ~~~r~~v l~V MIMAE C MARINO 39 COUNTRY CLUB RD CARLISLE PA 17013-8887 EST. OF RAYMOND MARINO SSN 131-30-2736 DATE OF DEATH 07-03-2009 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 21 09-0669 09158398 10-02-2009 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. WACHOVIA BK NA provided the Department with the infornekian below. which has been used in ealculatinp the poten41a1 tax duo. Records indicate that ak the tleath of the above-n aaetl tlecedvnt, you were a joint a+ne r/bvnef iciaro of this account. If eau foal the Snfa rmatipn is incorrect. please obtain written correction iron the financial institution. attach a copy to this fora and return it to the above address. This aeeoun4 is taxable in aecortlance with the Inheritance Tax laws of the Cannonwealth of Pennavlvsn ie. Pleme call Oli) 1a7-mb2T with auastions. COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1010164911749 Data 07-02-2007 To ensure proper eratlit to the account, two Estab115hetl conies of this notice musk accomparo pavmenk to the Register of Wills. Make check Account Balaneo b` 5,243.31 parable to "Repi star of Wills. Agent". Pere ont Taxable X 50.000 NOTES If tax payments era made within three Amount Su bl net to Tax $ 2,621.66 months of the tlecetlent's data of death. R t T X , 0 O deduct a 5 percent discount on 4ha tax due. a e aX Anv Inheritance Tax due will became delinauen4 Potential Tax Due ~ • 00 nine months after the data of death. A. ~ The above inf ornation antl tax due is correct. Raait payment to 4ha Rep isker of Wills with two copies of this notice to obtain a discount or avoid interest, or chock box "A" and return this notice to the Rapi star of r CHECK Wills antl an official assessment will b• issu ad by the PA Department of Revenua. I ONE ~ L BLOCK B. ~ Ths above asset has bean or will by reported and tax paid with the Pennsylvania Inheritance Tax return ONL Y to be filed by the esteiv rep resenta tivv. C. ~ The above inf erne ion is incorrect and/or debts and deductions were paid. Camolete PART ~2 and/or PART 3~ below. ppRT If Sntll catin9 a different tax rate, please state 'r~ i., ~ Q rel at lonship to decedent: ~'~ i ~ ~' i TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~~ ~' LINE 1. Date Establishetl 1 2. Atcou nt Balance 2 S 3. Percent Taxable 3 X 4. Amounk SubOe<t to Tax 4 ~ 5. Debts and Deductions 5 6. Amount Taxable 6 $ 7. Tax Rate 7 X 8. Tax Due e S pAR7 DEBTS AND DEDUCTIONS CLAIMED ^3 DATE P AID PAYEE DESCRIPTION AMOUNT PAID Under penaliSvs of pe ryurv . I declare that the facts I have repo rt etl above are true., pOr raek~~d „ / ~o~ymp~l~e tie ,fit ogthe best o m knowledge and belief. HOME C 7 ) ~%/' /p 0(y~ /~~ b OS7 G~',,n/ / II ~' Ibt" ~ ~~ WORK ( ) ~ ~ V 1XPA.ER S GNATURE TELEPHONE NUMBER DATE